Corey A. Moore Ubu Sports Mentoring
Corey A. Moore Ubu Sports Mentoring is a Community/Behavioral Health Agency in North las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2015.
- Licensed in
- NV
- In the registry since
- 2015
Practice location Address checks out
5135 Camino Al Norte Ave Ste 100North las Vegas, NV 89031-8104
Phone: (941) 587-4953
Fax: (702) 853-7001
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence NV20151051263 (NV) |
|---|
Record details
| NPI number | 1841679891 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ubu Sports Mentoring |
| Authorized official | Corey Moore — Owner/Direct Supervison · (941) 587-4953 |
| Other names | Ubu Sports Mentoring |
| NPI enumerated | May 22, 2015 |
| Last updated in NPPES | April 20, 2016 |
| Mailing address | 5135 Camino Al Norte Ave., Suite 100, North Las Vegas, NV 89031-8104 |
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